Angelo State University is an equal opportunity employer.
Name Relationship Address Phone Number
I certify that all the information provided by me in connection with my application, whether on this document or
not, is true and complete, and I understand that any misstatement, falsification, or omission of information
shall be grounds for refusal to hire or, if hired termination.
I authorize Angelo State to make reference checks relating to my employment and I also authorize all prior
employers to provide full details concerning my past employment. I release all such parties from all liabilities
from any damages which may result from furnishing such information. I understand that this application and
all attachments are the property of Angelo State.
I understand that as a condition of employment I will be required to provide legal proof of authorization to work
in the U.S.
I understand that the State of Texas requires all males between 18 and 25 to register with the Selective
Service and to present either proof of registration or exemption from registration upon hire.
I understand my work study award amount is subject to revision if you receive additional financial aid that was
not considered at the time your award was made.
I understand I must maintain academic good standing and satisfactory progress to be eligible for work-study.
I understand that any offer of employment is contingent upon my completing the Immigration and
Naturalization Service Employment Eligibility Verification (Form I-9) and providing documents to verify my
identity and employment eligibility as required by law. When completing the Form I-9, I will be required to
attest that I am a citizen or national of the U.S., a lawful Permanent Resident or an alien authorized to work.
I understand that continuation of employment is at the discretion and will of the institution. This is an
application for employment and no employment contract is being offered. If employed, such employment is for
an indefinite period of time and the institution can change wages and conditions or may terminate the
employee at any time.
I certify that I have read and agree with these statements.
Signature:
Date:
Work Study Student Employment Application
